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https://repository.monashhealth.org/monashhealthjspui/handle/1/53293| Title: | Grade notes: using Grade informed approaches when developing diagnostic criteria: example and reflections from the Australian guidelines for assessment and diagnosis of fetal alcohol spectrum disorder. | Authors: | Natasha R.;Nicole H.;Akison L.K.;Vanderpeet C.;Middleton P.F.;Zachary M.;Anderson S.;Barnett D.;Crawford A.;Doney R.;Elliott E.;Friend R.;Goldsbury S.;Gullo M.;Harrington S.;Harris K. ;Hewlett N.;Hutchinson D.;Kay F.;Kippin N.;Mutch R.;Naglazas M.;Padencheri S.;Pestell C.;Shelton D.;Skorka K.;Stewart J.;Till H.;Walker P. ;Bagley K.;Crichton A. ;Finlay-Jones A.;Moritz K.;Shanley D.;Webster A.;White A. | Monash Health Department(s): | Paediatric - Victorian Fetal Alcohol Service | Institution: | (Natasha, Vanderpeet) Child Health Research Centre, The University of Queensland, South Brisbane, QLD, Australia (Nicole) School of Early Childhood and Inclusive Education, Queensland University of Technology, Brisbane, QLD, Australia (Akison) School of Biomedical Sciences, The University of Queensland, St Lucia, QLD, Australia (Middleton) South Australian Health and Medical Research Institute (SAHMRI), Adelaide University, Adelaide, SA, Australia (Zachary) Health Evidence Synthesis, Recommendations, and Impact (HESRI), School of Public Health, Adelaide University, Adelaide, SA, Australia (Zachary) Faculty of Health and Medical Sciences, Australia (Anderson, Shelton, Till) Child Development Service, Gold Coast Hospital and Health Service, Queensland Health, Gold Coast, QLD, Australia (Barnett) FASD Clinic, Children's Hospital Westmead, Sydney, NSW, Australia (Crawford) Faculty of Medical and Health Sciences, University of Auckland, Hawkes Bay, Auckland, New Zealand (Doney) Patches Paediatrics, Perth, WA, Australia (Elliott) University of Sydney, Faculty of Medicine and Health, Children's Hospital Westmead, Sydney, NSW, Australia (Friend) Faculty of Health, Charles Darwin University, Darwin, NT, Australia (Goldsbury) Maori and Psychology Research Unit, School of Psychology, Waikato University, Hamilton, New Zealand (Gullo) School of Applied Psychology, Griffith University, Brisbane, QLD, Australia (Harrington) NOFASD Australia, WA, Australia (Harris, Crichton) VicFAS, Monash Children's Hospital, Melbourne, VIC, Australia (Hewlett) Child Health Research Centre, University of Queensland, Brisbane, QLD, Australia (Hutchinson) Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Melbourne, VIC, Australia (Kay) Royal Children's Hospital Darwin Children's Clinic, Patches Paediatrics, Darwin, NT, Australia (Kippin) Curtin School of Allied Health, Curtin University, Perth, WA, Australia (Mutch) Medical School, University of Western Australia, Perth Children's Hospital, Child and Adolescent Health Service, Child Disability Team, Telethon Kids Institute, Perth, WA, Australia (Mutch) Harvard Program for Refugee Trauma, CME, HMS, United States (Naglazas, Stewart) Neurosciences Unit, North Metropolitan Health, Western Australia Department of Health, Perth, WA, Australia (Padencheri) Child and Youth Mental Health Service, Hornsby Hospital, Northern Sydney, NSW, Australia (Pestell) School of Psychological Science, University of Western Australia, Perth, WA, Australia (Skorka) On Call Children's Therapy, Queensland Department of Education, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia (Walker) Private Practice, Social Work and Social Policy, La Trobe University, VicFAS, Monash Children's Hospital, Melbourne, VIC, Australia (Bagley) La Trobe University, Australia (Finlay-Jones) Telethon Kids Institute, Australia (Moritz) University of Queensland, Australia (Shanley) Griffith University, Australia (Webster, White) West Moreton Health, Australia |
Issue Date: | 26-Feb-2025 | Copyright year: | 2025 | Publisher: | SSRN | Place of publication: | United States | Publication information: | SSRN. (no pagination), 2025. Date of Publication: 13 Feb 2025. | Journal: | SSRN | Abstract: | Objective: There is currently a lack of structured and transparent evidence-based processes for developing diagnostic criteria. Using a GRADE-informed approach, we have developed an innovative set of diagnostic criteria for fetal alcohol spectrum disorder (FASD).Study Design and Setting: Our research team developed de novo methods for developing guidance for diagnostic criteria, as part of the review and update of the Australian Guide to Diagnosis of FASD. Result(s): Using adapted evidence-to-decision frameworks, we were able to include or exclude clinical features in the diagnostic criteria for FASD. Application of GRADE principles to diagnostic criteria provided a systematic and clear process for generating recommendations. Conclusion(s): Use of the GRADE approach helped inform the development and utility of evidence-based diagnostic criteria for FASD and may have applications beyond FASD. This could include advancing more evidence-based approaches for developing diagnostic criteria for other clinical conditions lacking clear biomarkers or diagnostic tests.Copyright © 2025, The Authors. All rights reserved. | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.2139/ssrn.5135058 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/53293 | Type: | Preprint | Subjects: | fetal alcohol spectrum disorder |
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